HIV and COVID-19! It is a serious topic and I have been searching with an even more rigorous initial reading. I usually do a rereading. I have done three readings before I started translating. And, of course, I reread it when I bring my editing table here. WordPress.com
Uncertain Patient Risk for HIV and COVID-19 as well as in some specialties
In addition to elderly patients with comorbidities, there is a lack of data for high-risk patients!
LITTLE INFORMATION ABOUT HIV AND COVID-19
Patients with serious underlying conditions are also at risk of infection with the new Coronavirus, also known as COVID-19, but that means different things for different specialties, experts said. MedPage Today.
Although cardiovascular and respiratory conditions have been identified as risk factors for serious illnesses, guidelines for patients with “Serious underlying conditions” it has been broadly broad (the redundancy belongs to the author and I decided to keep it), mainly due to the lack of data in specific patient populations.
The HIV and COVID risk ratio is worrying when the CD4 count falls below 350, when there is, in fact, immune suppression and vulnerability to certain diseases, generally known as opportunistic diseasesWhat Are AIDS-Related Opportunistic Diseases? (this link opens in another tab) Immunocompromised patients are considered to be a high-risk population and can spread across a variety of specialties. In a recent briefing by the COVID-19 task force, Ambassador General Deborah Birx, MD, noted that older patients living with HIV may be at higher risk of COVID-19 infection
HIV and COVID-19 - Insufficient Information
Matthew Spinelli, MD, of the University of California at San Francisco, said that information about COVID-19 infection is "very limited" for people living with HIV.
“These patients have a higher number of comorbidities than people of the same age in the underlying population. Our concern is that it is not just a population with comorbidities, but also an aging population ”, he said.
Spinelli added that the people living with HIV also smoke at a higher rate than the general population. This is very true, thanks also to the advertisements, the songs connected to these advertisements.
To put it mildly, the imbecile who talks to you started smoking between 1976 and 1977, when the Hollywood advertisement showed 8.000 hours of Hollywood, the success 😠, or a player of the Brazilian team, world champion in 1970 when it was said Brazil, save the selection - Thanks Germany, no more mythical - he said, holding the pack of cigarettes in his hand, with the mark exposed, looking at the pack:
- “It's hard to say why you like a good cigarette, right? I like * rich village * because he is yummy smooth and does not irritate the throat * (-) 6 I like to take advantage of everything right?
It's seeing for you to see, having a cerebral spasm !!! And I am one of the many victims of that time.
There is an efficient treatment for this, but it is beyond my reach!
"There is a lot of COPD [chronic obstructive pulmonary disease] among people living with HIV due to higher smoking rates," he noted, adding that lung disease is more common in this population, making COVID-19 a particular concern.
“There is a high incidence of respiratory viral infections, which is why we are vigilant about the flu vaccine. There are high rates of pneumococcal disease ”.
COVID-19 and Non-HIV-Related Immunosuppression
Immunosuppression is also a concern in several specialties, such as gastroenterology, where a wide variety of patients are being treated with immunosuppressive agents, said Ryan Ungaro, MD, of the Icahn School of Medicine at Mount Sinai, New York, which recently co-authored an article in Clinical Gastroenterology and Hepatology about what the COVID-19 infection means for gastroenterologists in terms of patient care.
In addition to patients with inflammatory bowel disease, patients with autoimmune hepatitis or other “Immune-mediated conditions” higher risk, as well as “patients transplanted liver or small intestine ”.
Specifically, he cited a recent survey by China stating that "patients with active cancer had a more severe disease."
"It is not clear how chemotherapy may or may not be affecting your risks during the course of a COVID-19 infection," said Ungaro. MedPage Today.
He said that until more is known about how COVID-19 infection affects IBD patients (Inflammatory Bowel Diseases - based on what I was able to ascertain), this population is being treated as “at risk”, similar to the guidelines issued to the elderly.
HIV and COVID-19 plus Aging
Older populations with existing comorbidities are at greater risk, such as patients with kidney and urinary tract diseases, Crystal Garden Beku, MD, of Temple University in Philadelphia, told the MedPage Today.
"All healthcare professionals are concerned about patients with weaker immune systems, who may not be able to fight this infection as easily as the general population," she said.
“Patients with kidney disease generally have weakened immune systems, because they tend to be older patients and (presumably I would say) they have several health problems, making them more susceptible to other diseases and can be treated with drugs that decrease the efficiency of their immune systems ”.
However, when asked what kind of patients could fit into a high-risk group, Gadget Baku added that because it is a new virus, there's a lot that doctors don't know.
"We have not yet been able to quantify risks in patients with various types of kidney disease," she noted.
Spinelli agreed that doctors will once again know that people are exposed to the virus, but in terms of the population most at risk from HIV, he is always more concerned with patients with low CD4 count and people suffering from immunological drug suppression ”
COVID-19 & HIV and Public Men and Women I agree
“I wouldn't be surprised if they were in increased risk of infection.
These are the patients we should be concerned about, and we must work hard to get them to take all their medication with adherence and consistency, ”he said.
Attention Ladies and gentlemen, Ministers and Ministers Governors and Governors, Senators Senators, Deputies and Federal and State Deputies, Mayors and Mayors, Councilors and Aldermen and, yes, Mr. President:
Yes! All of us, including you, will die one day, it is true! Let us not die, none of us for lack of medication, or adequate and correct medical treatment, because every drop of blood that is spilled in this way I know, I believe and I believe for sure, they will be written down in a Book, inside a Court where no agreements are made!
Although Spinelli pointed to a recent presentation at the Conference on Retroviruses and Opportunistic Infections (CROI), who stated that HIV patients with suppressed viral load and higher CD4 count may still be at higher risk, there is still not enough data to know.
He noted that the recommendations presented at the CROI included HIV patients who were on medication for 30 days at all times, keeping influenza and pneumococcal vaccines up to date and establishing a clinical care plan if patients are isolated or quarantined, which can involve using online telemedicine or medical portals.
Recurrent Candidiasis. It also relates to a possible case of AIDS